KAVANTISSA MONARAWILA KEPPETIPOLA MD
NPI 1013475201
Neurological Surgery in Gainesville, GA
About Kavantissa Monarawila Keppetipola Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAVANTISSA MONARAWILA KEPPETIPOLA MD (NPI 1013475201) is an individual neurological surgery provider in Gainesville, Georgia, licensed in Georgia (113510) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Rush Medical College Of Rush University (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kavantissa Monarawila Keppetipola Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kavantissa Keppetipola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kavantissa Keppetipola's NPI number?
The NPI number for Kavantissa Keppetipola is 1013475201. It was assigned to this individual provider in the NPPES registry on March 6, 2019.
Where is Kavantissa Keppetipola located?
Kavantissa Keppetipola practices at 1315 Jesse Jewell Pkwy NE Ste 300, Gainesville, GA 30501. The listed phone number is (770) 219-9678.
What is Kavantissa Keppetipola's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Kavantissa Keppetipola enrolled in Medicare?
Yes. Kavantissa Keppetipola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kavantissa Keppetipola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kavantissa Keppetipola reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kavantissa Keppetipola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kavantissa Keppetipola was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.